PEDIATRIC NEPHROLOGY AT SAINT NPI 1245288000

NPI Information

  • NPI: 1245288000
  • Provider Name: PEDIATRIC NEPHROLOGY AT SAINT
  • Classification: Pediatrics - 2080P0210X
  • Specialization: Pediatric Nephrology
  • Entity Type: Organization
  • Address: 94 OLD SHORT HILLS RD
    LIVINGSTON, NJ
    ZIP 07039
  • Phone: (973) 322-5264

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NPI Details

PEDIATRIC NEPHROLOGY AT SAINT is a pediatric nephrology pediatrics in Livingston, NJ. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. PEDIATRIC NEPHROLOGY AT SAINT NPI is 1245288000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

94 OLD SHORT HILLS RD
LIVINGSTON, NJ
ZIP 07039-672
Phone: (973) 322-5264
Fax: (973) 322-2315

The provider's authorized official is Patrick Ahearn .
The authorized official title is Director and has the following contact phone number (732) 557-7119.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0210XPediatricsPediatric NephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17383207MEDICAIDNEW JERSEY
2003171MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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